Average Medicaid Office Visit Payments in Front Royal, VA: $58.85
Avg. Paid
$58.85
Range
$3.64 – $85.26
Total Claims
139,810
Providers
72
Typical Payment Range
Typical Medicaid Office Visit payments fall between $29.28 and $67.92 per claim (median: $46.55). The top 10% of payments exceed $95.29.
Based on per-provider averages across all Medicaid claims in this category.
A standard doctor's office visit for evaluation and management of medical conditions. Includes new patient visits, follow-up visits, and consultations.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Office Visit in Front Royal, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Northwestern Community Services Board
209 W Criser Rd |
$54.10 | 23,959 | 19,867 |
|
Abiodun Oyebanjo
120 N Commerce Ave Ste 103 |
$60.61 | 13,241 | 11,632 |
|
Khalid Albedrani
625 Virginia Ave |
$59.52 | 10,995 | 9,226 |
|
Teresa Elaine Burnett
316 Warren Ave Ste 1 |
$68.71 | 10,246 | 5,832 |
|
Warren Memorial Hospital, Inc.
351 Valley Health Way Ste 200 |
$52.91 | 6,486 | 5,787 |
|
Elizabeth C Trefzger
209 W Criser Rd |
$58.72 | 4,396 | 3,785 |
|
Kali Tichenor
315 W 10Th St Ste B |
$80.86 | 3,761 | 1,959 |
|
Vineeta Vijay Kanbur
120 N Commerce Ave Ste 103 |
$63.08 | 3,653 | 3,274 |
|
Warren Memorial Hospital, Inc.
120 N. Commerce Ave |
$63.47 | 3,631 | 3,171 |
|
Erik Mitchell
351 Valley Health Way # 200 |
$51.69 | 3,306 | 2,934 |
|
Meghan Danielle Gilleland Turner
120 N Commerce Ave Ste 255 |
$56.51 | 2,860 | 2,580 |
|
Kimberly Rae Leslie
120 N Commerce Ave Ste 103 |
$66.22 | 2,770 | 2,557 |
|
Glenn Kellis Mcclaugherty
209 W Criser Rd |
$61.45 | 2,678 | 2,375 |
|
Thomas Alan Ball
351 Valley Health Way # 300 |
$56.29 | 2,348 | 2,154 |
|
Dawnya Rinker Finerfrock
841 N Shenandoah Ave Ste 3 |
$51.87 | 2,333 | 2,094 |
|
Deborah E Dunn
315 W 10Th St |
$52.53 | 2,293 | 1,965 |
|
Maria Laplante
67 Riverton Commons Dr |
$69.85 | 2,290 | 2,119 |
|
Jack Ming Hsu
120 N Commerce Ave |
$56.45 | 2,122 | 1,947 |
|
Tamara Denise Spriggs
140 W 11Th St |
$55.91 | 1,989 | 1,771 |
|
Elizabeth Berry
67 Riverton Commons Dr |
$64.99 | 1,959 | 1,819 |
|
Julian E. Martinez
120 N Commerce Ave |
$45.39 | 1,830 | 1,678 |
|
Sinead Deirdre Arndt
65 Riverton Commons Dr |
$63.73 | 1,756 | 1,688 |
|
Jennifer Browning Barron
351 Valley Health Way # 300 |
$55.48 | 1,708 | 1,585 |
|
Rebecca Ann Myers-Settle
624 Virginia Ave |
$63.89 | 1,674 | 1,393 |
|
Jeffery Groesbeck
351 Valley Health Way # 300 |
$56.85 | 1,394 | 1,284 |
|
Candace Jill Wise
351 Valley Health Way # 300 |
$55.60 | 1,386 | 1,215 |
|
Yevgeny Kats
103 E 6Th St |
$44.19 | 1,383 | 1,129 |
|
Virginia Anne Baker
120 N Commerce Ave Ste 230 |
$53.79 | 1,290 | 1,209 |
|
Victoria Morimoto
120 N Commerce Ave |
$52.82 | 1,286 | 1,176 |
|
Warren Memorial Hospital, Inc.
67 Riverton Commons Dr |
$72.54 | 1,173 | 1,058 |
|
Bridget M Hickson
65 Riverton Commons Dr |
$69.67 | 1,111 | 1,057 |
|
Chinor Fattahi
65 Riverton Commons Dr |
$65.81 | 1,101 | 1,067 |
|
Sherry A Whisenant
140 W 11Th St |
$55.10 | 1,049 | 983 |
|
Adam Louis Chavez
351 Valley Health Way # 200 |
$55.53 | 969 | 858 |
|
Rebecca L Potterton
65 Riverton Commons Dr |
$67.69 | 909 | 846 |
|
Patricia A Daly
315 W 10Th St |
$65.15 | 880 | 799 |
|
Craig Hudgins Phillips
67 Riverton Commons Dr |
$71.41 | 877 | 796 |
|
John William Kerns
140 W 11Th St |
$51.75 | 824 | 747 |
|
Carole Kathleen Funk
841 N Shenandoah Ave Ste 3 |
$56.41 | 769 | 671 |
|
Commonwealth Of Virginia State Board Of Health
465 W 15Th St |
$15.93 | 744 | 712 |
|
Rajesh Subedi
625 Virginia Ave |
$52.57 | 653 | 564 |
|
Kate Jones
65 Riverton Commons Dr |
$59.28 | 644 | 611 |
|
Jonathan Winter
351 Valley Health Way # 300 |
$60.16 | 593 | 551 |
|
Stephanie Wagstaff Lafave
140 W 11Th St |
$70.62 | 561 | 524 |
|
Teresa S Ramerth
209 W Criser Rd |
$55.13 | 541 | 458 |
|
Derrik Holladay
65 Riverton Commons Dr |
$65.58 | 491 | 473 |
|
Katherine Marie Winter
351 Valley Health Way # 300 |
$73.91 | 480 | 430 |
|
Tina Bordonaro
920 N Shenandoah Ave Ste 101 |
$3.64 | 466 | 335 |
|
Michele Marie Moore
209 W Criser Rd |
$20.39 | 443 | 336 |
|
Roger K. Westfall
351 Valley Health Way Ste 300 |
$50.36 | 433 | 383 |
What to Expect: Office Visit
A typical office visit lasts 15-45 minutes depending on complexity. Your doctor will review your medical history, discuss symptoms, perform a physical exam, and discuss treatment options. You may receive prescriptions, referrals, or orders for diagnostic tests. Follow-up visits are usually shorter than new patient visits.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 99213 | Office visit established mod | $43.18 | 764,306,590 | 487,602 |
| 99214 | Office visit established mod-hi | $59.53 | 502,480,931 | 466,856 |
| 99212 | Office visit established low | $41.69 | 92,299,154 | 127,462 |
| 99203 | Office visit new moderate | $67.55 | 47,756,882 | 127,334 |
| 99211 | Office visit established minor | $39.24 | 44,127,221 | 47,748 |
| 99204 | Office visit new moderate-high | $92.03 | 32,379,031 | 111,937 |
| 99215 | Office visit established high | $93.58 | 29,619,773 | 74,725 |
| 99202 | Office visit new low | $58.57 | 9,372,712 | 35,486 |
| 99205 | Office visit new high | $136.10 | 3,665,382 | 19,737 |
| 99244 | Office consultation mod-high | $118.25 | 3,405,681 | 11,884 |
| 99243 | Office consultation moderate | $78.55 | 2,585,480 | 8,432 |
| 99245 | Office consultation high | $132.29 | 645,300 | 3,046 |
| 99242 | Office consultation low | $58.27 | 483,445 | 1,980 |
| 99241 | Office consultation brief | $66.15 | 295,664 | 712 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Office Visit cost in Front Royal, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Front Royal, VA is $58.85 per claim, based on 139,810 claims from 72 providers. Typical payments fall between $29.28 and $67.92. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Office Visit in Front Royal, VA?
There are 72 Medicaid providers offering Office Visit related services in Front Royal, VA according to public payment data.
What is the price range for Office Visit in Front Royal, VA?
Medicaid reimbursement for Office Visit in Front Royal, VA ranges from $3.64 to $85.26 per claim, with an average of $58.85. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
Brooklyn, NY
Avg $71.20
32,336,840 claims · 5588 providers
New York, NY
Avg $81.86
23,551,154 claims · 7530 providers
Los Angeles, CA
Avg $24.20
16,948,065 claims · 5565 providers
Chicago, IL
Avg $30.31
13,989,780 claims · 5801 providers
Bronx, NY
Avg $82.40
13,626,712 claims · 3705 providers
Phoenix, AZ
Avg $47.53
13,269,420 claims · 4233 providers
Houston, TX
Avg $48.27
8,766,644 claims · 4540 providers
Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Front Royal, VA
Blood Work & Lab Tests
Avg $7.35
133,599 claims
Substance Abuse Treatment
Avg $256.36
104,167 claims
Emergency Room Visit
Avg $138.13
85,660 claims
Physical Therapy
Avg $53.43
66,608 claims
Behavioral & Mental Health Therapy
Avg $86.12
56,729 claims
Case Management Services
Avg $323.04
44,331 claims
Psychiatric Evaluation
Avg $84.04
38,441 claims
Speech Therapy
Avg $54.82
34,275 claims